| Ms Kristin Diane Rickelman, NP | |
|
2081 Bronze Star Dr, Woodland, CA 95776-5423 | |
| (530) 668-2600 | |
| (530) 661-1027 |
| Full Name | Ms Kristin Diane Rickelman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 24 Years |
| Location | 2081 Bronze Star Dr, Woodland, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285629428 | NPI | - | NPPES |
| 552017 | Other | CA | RN |
| NPF 17161 | Other | CA | NURSE PRACTITIONER FURNISHING NUMBER CERTIFICATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP 17161 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sutter Davis Hospital | Davis, CA | Hospital |
| Sutter Medical Center, Sacramento | Sacramento, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sutter Valley Medical Foundation | 9830094515 | 2136 |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kristin Diane Rickelman, NP 3400 Data Dr, Attn Credentialing/payer Enrollment, Rancho Cordova, CA 95670-7956 Ph: () - | Ms Kristin Diane Rickelman, NP 2081 Bronze Star Dr, Woodland, CA 95776-5423 Ph: (530) 668-2600 |
Gordon Worley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1325 Cottonwood St, Woodland, CA 95695 Phone: 530-662-3961 | |
Man Lung Wu, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 632 W Gibson Rd, Woodland, CA 95695 Phone: 530-668-2652 | |
Thomas Ambrosini, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1325 Cottonwood St, Woodland, CA 95695 Phone: 530-662-3961 | |
Richard Jun Meza, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1325 Cottonwood St, Woodland, CA 95695 Phone: 530-662-3961 Fax: 530-668-9429 | |
Laura Mazza, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 632 W Gibson Rd, Woodland, CA 95695 Phone: 530-419-1219 | |
Mrs. Britta Anne Van Andel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1321 Cottonwood St Ste 203, Woodland, CA 95695 Phone: 530-668-2600 Fax: 530-662-7330 | |
Clariza L Aguillon-doms, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 632 W Gibson Rd, Woodland, CA 95695 Phone: 530-669-3261 |